370 DUDLEY ST ACRS19-0016 HVAC PERMIT � rt' 1,� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
"'' sACRS19-0016
PERMIT ISSUED: 1/31/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/30/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
IJOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
370 DUDLEY ST MECHANICAL RESIDENTIAL replace 3.5-ton 40K-BTU
HVAC AHU $5311.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172349 0000 LEWIS S/D
COMPANY: ADDRESS: CITY: STATE: ZIP:
Elite AC, LLC 6060 Chester Circle JACKSONVILLE FL 32217
OWNER: ADDRESS: CITY: STATE: ZIP:
MCELROY LORETTA R 370 DUDLEY ST ATLANTIC BEACH FL 32233-1910
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES .
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 40000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $107.00
Issued Date: 1/31/2019 1 of 2
, ,:-1)`'/%.,f7- MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
"� PERMIT
ACRS19-0016
ISSUED: 1/31/2019
,,� 3�, CITY OF ATLANTIC BEACH EXPIRES:7/30/2019
Issued Date: 1/31/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: - --L)\IA\e.y tZQ,t PA\Qnc_ .h .3)..a3 3 PERMIT# k(.rst�7 'oo1k;
PROJECT VALUE$ 5 1 /33\\ 'QO ARI# —7 \54O1_. REQUIRED
Air Handling Equipment Only ✓ Air Handling Unit& Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Raring
Duct Systems: Total CFM
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ‘ Tons Per Unit 3• Seer Rating_Al__
Heat: Unit Quantity _ t BTU's Per Unit y<, REQUIREDDuct Systems: Total CFM
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
(Re� gnires 3 sets of plans)
Fire Standpipe Quantity "— - (Requires 3 sets of plans)
Underground Fire Main • Value (R quI 3 sets of plans)
Fire Hose Cabinets Quantity vires 3 sets of plans)
Commercial Hoods Quantity (Requires
3 sets of plans)
Fire Suppression Systems Quantity (Requires
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators -
ALL OTHER GAS PIPING Heat Exchanger ----
Quantity of OutletsPumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells —
OTHER: \-- Q CI'(\C1t' .- C3731l•. q-157 \'-V)9 \ (\`o'. A'R,uFu'?,C.\y
period or work isor abandoned for six months.I hereby certify that I have read
Permit becomes void if work does not commence within a six month perisuspended 'text with whether�'G�or
this application and know the same to be true and correct All provisions of taws and ordinances gon:shin this work-rill be comp
not. The permit dots not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name __LK:Pt e \c.e\)es\5(31.1 _Phone Number qd-i- k'1 -S� .S
Office Phone Fax
_.--
Mechanical Company ..,\,,-‘ke c)C �.C — — _
Co.Address: b10\-K1 C.1Yle S* e- Q.:\-0o City -_AAX State
.i,r Zip 3a3‘n
License Holder(Print): lib e f 4" e c)._( �a i�Staa`tee Certification/Registration 3 C \%`� ‘3S9Notarized Signature of License Holder
., ic9 e A. r/
Before me this Z 3 day of D-aYi✓a r y 20 ( q
".',, ANNA M. WILLIAMS �',,,
r, ' _ ';clary Public, Stale of Signature of Notary Public '1L't 4 i 1'i 'a� 'tr'i�'7'�`
: ;:.c- - My coram.2ep:reF Jury'� iCi.
•'4 -::3i Co�*asision Nc^.Cer cS,...
Cash Register Receipt Receipt Number
City of Atlantic Beach R8012
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $107.00
ACRS19-0016 Address: 370 DUDLEY ST APN: 172349 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 40000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8012 $107.00
Date Paid:Thursday,January 31, 2019
Paid By: Elite AC, LLC
Cashier: CB
Pay Method: CREDIT CARD 54014
Printed:Thursday,January 31,2019 2:41 PM 1 of 1
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